We are excited that you have chosen Rainbow Pediatric, P.C. for your child's medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.

Superior Medical Care for Your Children

Stay on top of your children’s health condition. Entrust their wellbeing to a licensed and board-certified physician. Rely on the pediatrician of Rainbow Pediatric PC in Humboldt, TN. We guarantee superior medical care for your children. Connect with our physician and pediatric clinic by signing in to our Advanced MD | Patient Portal. The portal also gives you 24/7 access to your children’s health information. We have also provided a list of helpful medical resources.

Our Mission

Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:

  • Improving the lives of the children we serve by providing quality care in a child-centered environment.
  • Listening to our young patients and their families who we are privileged to serve.
  • Guiding our patients along a path of optimal health and wellness.
  • Continually pursuing excellence at all levels through continuing education.

Patient Forms

To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. You may also download and print the forms from this website, fill them out ahead of time, and bring them with you to the first appointment.

Amerigroup PCP Change Form
Consent to Treat - 1 day Form
Consent to Treat - Long Term
Yearly Record Release
Records Release Form
UHC PCP Change Form
Sports Physical Form
Bluecare PCP Change Form
ADHD Follow-up: Parent Informant ENGLISH
ADHD NICHQ Vanderbilt Parent Initial SPANISH
NICHQ ADHD Follow-up: Parent SPANISH
ADHD Parent Initial English
Child SCARED Screener


In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.


What to expect

A pleasant, comfortable first visit builds trust and helps put the child at ease during future visits. We want your child to enjoy getting to know our doctors and staff, so we work hard to establish this bond during every appointment to our office. During your initial appointment, we will explain everything in detail and answer any questions you may have.

We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.